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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Difficulty In Conceiving

Hi, I have been trying to conceive around 6 years now and no luck. I have a child that is 8 and had no problem getting pregnant with her. I had an IUD after having her and had it taken out after about a year bc it was causing me to keep getting bv. Since having it removed I ve had irregular periods and I don t ovulate. I had laparoscopic surgery and my OBGYN said that everything looks great and that I m extremely fertile but my ovaries aren t releasing my eggs. She had put me on a few rounds of Clomid prior to the surgery but I didn t ovulate it just caused hyperstimulation of my ovaries so she said I couldn t take it anymore. I guess my question is what can I do? What is the best next step for me to take? Please help, I m so aggravated with all of this. Thank u
Thu, 26 Nov 2015
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OBGYN,  's  Response
Hallow Dear,

Your case seems to be simple and straight forward, though challenging to deal with.

You have got problem in releasing eggs (ovulation). So the treatment for you is to induce ovulation. Unfortunately, your ovaries have not responded to Clomiphene citrate (Clomid) which is a primary line of treatment.

Now the other option for you is to go for HMG + HCG combination. HMG causes the maturation of the follicles in the ovaries. When a follicle attains the desired size of about 18 mm and the blood hormonal values satisfy the criteria, HCG is given to cause the ovulation from the matured ovum.

Accordingly you can adjust the sexual intercourse on or around the day of egg release.

I hope this helps you.
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Suggest Treatment For Difficulty In Conceiving

Hallow Dear, Your case seems to be simple and straight forward, though challenging to deal with. You have got problem in releasing eggs (ovulation). So the treatment for you is to induce ovulation. Unfortunately, your ovaries have not responded to Clomiphene citrate (Clomid) which is a primary line of treatment. Now the other option for you is to go for HMG + HCG combination. HMG causes the maturation of the follicles in the ovaries. When a follicle attains the desired size of about 18 mm and the blood hormonal values satisfy the criteria, HCG is given to cause the ovulation from the matured ovum. Accordingly you can adjust the sexual intercourse on or around the day of egg release. I hope this helps you.